Hepatic venous congestion in living donor liver transplantation: Preoperative quantitative prediction and follow‐up using computed tomography

Shin Hwang, Sung‐Gyu Lee, Kwang‐Min Park, Ki‐Hun Kim, Chul‐Soo Ahn, Young‐Joo Lee, Kyu‐Bo Sung, Deok‐Bog Moon, Tae‐Yong Ha, Sung‐Hun Cho, Ki‐Bong Oh, Ji‐Min Han, Myung‐Hwan Kim – 20 May 2004 – Hepatic venous congestion (HVC) has not been assessed quantitatively prior to hepatectomy and its resolving mechanism has not been fully analyzed. We devised and verified a new method to predict HVC, in which HVC was estimated from delineation of middle hepatic vein (MHV) tributaries in computed tomography (CT) images.

Interleukin‐2 receptor antibody (basiliximab) for immunosuppressive induction therapy after liver transplantation: A protocol with early elimination of steroids and reduction of tacrolimus dosage

Chi Leung Liu, Sheung Tat Fan, Chung Mau Lo, See Ching Chan, Irene O. Ng, Ching Lung Lai, John Wong – 20 May 2004 – A prospective evaluation was performed to study the potential benefits of the use of interleukin‐2 receptor antibody (IL‐2Rab) in the induction therapy with early elimination of steroid and reduction of tacrolimus dosage in liver transplant recipients among whom 94% had chronic hepatitis B infection.

Tailoring donor hepatectomy per segment 4 venous drainage in right lobe live donor liver transplantation

See Ching Chan, Chung Mau Lo, Chi Leung Liu, Yik Wong, Sheung Tat Fan, John Wong – 20 May 2004 – Including the middle hepatic vein (MHV) in the right lobe liver graft for adult‐to‐adult live donor liver transplantation provides more functional liver by securing adequate venous drainage. Donor outcome of this procedure in relation to different venous drainage patterns of segment 4 is unknown. Modification of graft harvesting technique by preserving segment 4b hepatic vein (V4b) in theory compensates for unfavorable venous drainage patterns.

The effect of donor weight reduction on hepatic steatosis for living donor liver transplantation

Shin Hwang, Sung‐Gyu Lee, Se‐Jin Jang, Sung‐Hun Cho, Ki‐Hun Kim, Chul‐Soo Ahn, Deok‐Bog Moon, Tae‐Yong Ha – 20 May 2004 – Hepatic steatosis is often associated with overweight, so we tried body‐weight reduction in potential living donors with fatty liver and/or obesity to alleviate hepatic steatosis. We advised to reducing the body weight by 5% for 9 potential living donors showing hepatic steatosis of 25–95% on initial percutaneous needle biopsy (PCNB). They lost 5.9 ± 2.0% of the initial body weight during 2–6 months and their body mass index changed from 25.3 ± 3.8 to 23.7 ± 3.4.

Cytotoxic T‐cell elimination during anti‐CD4–induced rat liver acceptance and rapid replacement of functional graft antigen–presenting cells

Kazuhiro Usui, Junzo Yamaguchi, Weili Gu, Takashi Kanematsu – 20 May 2004 – In previous studies, we showed that primed T cells were eliminated in long‐term survival Wistar Furth (WF) recipient rats with spontaneously accepted Lewis (LEW) liver graft and that the grafted liver lost the ability to elicit rejection reaction early after liver transplantation. We hypothesized that the same phenomenon may be observed in tolerant animals after immunosuppression in a rejector rat strain combination (WF→LEW).

Advances in adult living donor liver transplantation: A review based on reports from the 10th anniversary of the adult‐to‐adult living donor liver transplantation meeting in Tokyo

Yasuhiko Sugawara, Masatoshi Makuuchi – 20 May 2004 – In 1993, the Shinshu Group performed the first successful adult‐to‐adult living donor liver transplantation (LDLT). During the first 10 years of LDLT, many technical innovations have been reported. The major limitation of LDLT for adult recipients is the size of the graft. To overcome the problem, several graft types were designed, including left liver graft with caudate lobe, right liver, modified right liver, and right lateral sector and dual grafts.

Nomenclature of the finer branches of the biliary tree: Canals, ductules, and ductular reactions in human livers

Tania A. Roskams, Neil D. Theise, Charles Balabaud, Govind Bhagat, Prithi S. Bhathal, Paulette Bioulac‐Sage, Elizabeth M. Brunt, James M. Crawford, Heather A. Crosby, Valeer Desmet, Milton J. Finegold, Stephen A. Geller, Annette S.H. Gouw, Prodromos Hytiroglou, A.S. Knisely, Masamichi Kojiro, Jay H. Lefkowitch, Yasuni Nakanuma, John K. Olynyk, Young Nyun Park, Bernard Portmann, Romil Saxena, Peter J. Scheuer, Alastair J. Strain, Swan N. Thung, Ian R. Wanless, A.

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